UNIVERSAL AMERICAN FINANCIAL CORP
S-2/A, 1999-11-22
LIFE INSURANCE
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     As filed with the Securities and Exchange Commission on November 22, 1999

                                                     Registration No. 333-90131

                       Securities and Exchange Commission
                             Washington, D.C. 20549
                          -------------------------------
                         PRE-EFFECTIVE AMENDMENT NO. 1 TO
                                    FORM S-2


             REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
                          -------------------------------
                       UNIVERSAL AMERICAN FINANCIAL CORP.

             (Exact name of registrant as specified in its charter)
                          -------------------------------


           New York                       6719/6311              11-2580136
- ------------------------------     ------------------------  -----------------
 (State or other jurisdiction         (Primary Standard       (I.R.S. Employer
      of incorporation or                 Industrial         Identification No.)
         organization)                Classification Code
                                            Number)

                       Universal American Financial Corp.
                        6 International Drive, Suite 190
                               Rye Brook, NY 10573
                                  914-934-5200

       (Address,  including zip code, and telephone number,  including area
                code of registrant's principal executive office)

                          Richard A. Barasch, President
                       Universal American Financial Corp.
                        6 International Drive, Suite 190
                               Rye Brook, NY 10573
                                  914-934-5200

                                 With a copy to

                                Irving I. Lesnick
                          Harnett Lesnick & Ripps, P.A.
                     150 East Palmetto Park Road, Suite 500
                              Boca Raton, FL 33432
                                  561-368-1995
          (Address, including zip code, and telephone number, including
                     area code of agent for service)

Approximate  date of  Commencement  of proposed  sale to the public:  as soon as
practicable following the effective date of this Registration Statement.

If any of the  securities  being  registered on this Form are to be offered on a
delayed or continuous  basis  pursuant to Rule 415 under the  Securities  Act of
1933, (the "1933 Act") check the following [X}

If the  registrant  elects to  deliver  its  latest  annual  report to  security
holders, or complete and legible facsimile thereof,  pursuant to Item 1(a)(1) of
this Form, check the following box. [ ]

If this Form is filed to register additional securities for an offering pursuant
to Rule 462(b) under the 1933 Act,  please check the  following box and list the
1933 Act  registration  statement number of the earlier  effective  registration
statement for the same offering. [ ]

If this Form is a  post-effective  amendment filed pursuant to Rule 462(c) under
the 1933  Act,  check  the  following  box and  list  the 1933 Act  registration
statement number of the earlier  effective  registration  statement for the same
offering. [ ]

If delivery of the prospectus is expected to be made pursuant to Rule 434,
please check the following box. [   ]
<TABLE>
<S>                           <C>                <C>                 <C>                 <C>
=======================  =============  ==================== ===================== =============
 Title of each class       Amount to      Proposed maximum     Proposed maximum      Amount of
   securities to be          be          offering price per   aggregate offering   registration
      registered          registered          unit                  price               fee
=======================  =============  ==================== ====================== ============
Common   stock,    par
value $0.01 per share      2,015,760          $1.00 (1)          $2,015,760          $1,821.24 (2)
</TABLE>

(1) Exercise price of warrants pursuant to which Common Stock is being offered.
(2) Calculated on the basis of average quoted price of Warrants on NASDAQ over
    the five business days prior to filing, plus $1.00 cash payment.

         The  Registrant  hereby  amends this Post  Effective  Amendment  to the
Registration  Statement  on such date or dates as may be  necessary to delay its
effective  date  until  the  Registrant  shall  file a further  amendment  which
specifically  states that this  Registration  Statement shall thereafter  become
effective in accordance with Section 8(a) of the Securities Act of 1933 or until
the  Registration   Statement  shall  become  effective  on  such  date  as  the
Commission, acting pursuant to said Section 8(a), may determine.


<PAGE>


                       UNIVERSAL AMERICAN FINANCIAL CORP.

Cross  Reference  Sheet showing the location in the  Prospectus  of  information
required by items of Form S-2.
<TABLE>
<S>                                                                            <C>

 1.  Forepart of the Registration Statement and Outside Front        Facing Page, Cross  Reference Sheet
     Cover Page of Prospectus.....................................   and Cover Page of Prospectus

 2.  Inside Front and Outside Back Cover Pages of Prospectus......   Inside Front Cover Page

 3.  Summary Information, Risk Factors and Ratio of Earnings to
     Fixed Charges
            (a)      Prospectus Summary...........................  Prospectus Summary
            (b)      Address and Telephone Numbers................  Prospectus Summary
            (c)      Risk Factors.................................  Risk Factors
            (d)      Ratio of Earnings to Fixed Charges...........  Not Applicable

 4.  Use of Proceeds...............................................  Use of Proceeds

 5.  Determination of Offering Price...............................  Not Applicable

 6.  Dilution......................................................  Not Applicable

 7.  Selling Security Holders......................................  Not applicable

 8.  Plan of Distribution .........................................  How to Exercise Unregistered Warrants

 9.  Description of Securities to be Registered....................  Description of Securities

10.  Interest of Named Experts and Counsel.........................  Legal Matters and Experts

11.  Information with Respect to the Registrant ...................  Documents Incorporated by Reference

12.  Incorporation of Certain Information by Reference.............  Documents Incorporated by Reference

13.  Disclosure of Commission Position
     on Indemnification for Securities Act Liabilities.............  Not applicable
</TABLE>


<PAGE>





                                    2,015,760 Shares

                          UNIVERSAL AMERICAN FINANCIAL CORP.

                                     COMMON STOCK

         2,015,760 shares of Common Stock, par value $.01 per share (the "Common
Stock"), of Universal American Financial Corp. ("the Company") are offered until
December  31, 1999 (the  "Expiration  Date"),  to the  holders of the  Company's
Common Stock Purchase  Warrants which have not previously been registered  under
the Securities Act of 1933, as amended (the "Securities Act") (the "Unregistered
Warrants").

         In order to purchase  shares offered  hereby,  a holder of Unregistered
Warrants must tender the Warrant to be exercised, with the exercise form therein
properly completed,  together with payment of the purchase price, at the rate of
$1 per share,  so as to be received by the Company prior to the 5 p.m., New York
time on the Expiration Date. See "How to Exercise Unregistered Warrants" on page
16.

         The entire  proceeds  of each such sale will be received by the Company
with no underwriting commission or discounts. The Company is paying the expenses
of the offering, estimated at $25,000.

         The Common  Stock is listed on the  Nasdaq  National  Market  under the
symbol "UHCO".

Prospective   investors   should carefully consider the factors set forth in
"Risk Factors".


         Neither the Securities and Exchange Commission nor any state securities
commission has approved or  disapproved  of these  securities or passed upon the
accuracy or adequacy of this prospectus. Any representation to the contrary is a
criminal offense.





                 The date of this Prospectus is November 23, 1999






<PAGE>



                                       v

                                                  TABLE OF CONTENTS

                                                                            Page

PROSPECTUS SUMMARY.............................................................1

         The Company and Its Business..........................................1
         Use of Proceeds.......................................................2
         The Offering..........................................................2

RISK FACTORS...................................................................3

         The 1999 Acquisition..................................................3
         Competition...........................................................4
         Government Regulation.................................................6
         Other Possible Changes in Legislation.................................7
         Asset Liability Matching..............................................8
         Reliance on Reinsurance...............................................9
         Control by Capital Z ............................................... 10
         Possible Anti-Takeover Effects of the Restated
                  Certificate of Incorporation, Insurance Law
                  Provisions and of the 1998 Plan.............................11
         Impact of Year 2000 .................................................11
         Market in Publicly Traded Securities.................................12
         Effect of Future Sales of Additional Shares .........................12

USE OF PROCEEDS...............................................................13

ADDITIONAL INFORMATION .......................................................13
         Documents Incorporated by Reference..................................13
         Registration Statement...............................................14
         Annual Reports.......................................................16

HOW TO EXERCISE UNREGISTERED WARRANTS.........................................16

DESCRIPTION OF SECURITIES.....................................................19

         Common Stock.........................................................19
         Certain Provisions of Certificate of Incorporation,
         Bylaws and New York Law..............................................20
         Transfer Agent.......................................................22

LEGAL MATTERS.................................................................22

EXPERTS.......................................................................23







<PAGE>


         The Company is a holding company which owns certain  insurance  company
subsidiaries domiciled in Florida, Pennsylvania, New York, North Carolina, Texas
and Ontario,  Canada. The insurance laws of these jurisdictions  provide that no
person may acquire  control of the Company,  and thus indirect  control of these
insurance  company  subsidiaries,  unless such  person has given  prior  written
notice to such insurance company subsidiaries and received the prior approval of
the regulatory authority of domiciliary jurisdiction. Any purchaser or holder of
voting securities of the Company possessing more than a specified portion of the
voting power of such voting securities--5% under Florida Law, 10% under the laws
of the other  United  States  jurisdictions  and under  Canadian Law -- would be
presumed to have  acquired  such control,  unless the relevant  state  insurance
regulatory agency, upon application, determines otherwise.

         No dealer,  salesperson or any other person has been authorized to give
any information or to make any  representation  not contained in this Prospectus
and, if given or made,  such  information or  representation  must not be relied
upon as  having  been  authorized  by the  Company.  This  Prospectus  does  not
constitute an offer to sell, or a  solicitation  of any offer to buy, the Common
Stock in any  jurisdiction  where,  or to any person to whom,  it is unlawful to
make such offer or solicitation. Neither the delivery of this Prospectus nor any
sale made hereunder shall, under any circumstances,  create any implication that
the  information  herein is correct as of any time subsequent to the date hereof
or that there has been no change in the affairs of the Company since such date.


<PAGE>



                                      xxiii


                             PROSPECTUS SUMMARY

The Company and Its Business

         The Company is an insurance holding company  representing the strategic
combination  of nine life  insurance  companies  (collectively,  the  "Insurance
Subsidiaries"),  and WorldNet  Services  Corp.  ("WorldNet"),  an  international
managed care company. The Insurance  Subsidiaries are: American Progressive Life
and Health  Insurance  Company of New York  ("American  Progressive"),  American
Pioneer Life Insurance  Company  ("American  Pioneer"),  American  Exchange Life
Insurance  Company  (American  Exchange"),  Constitution  Life Insurance Company
("Constitution Life "), Peninsular Life Insurance Company  ("Peninsular  Life"),
Pennsylvania  Life  Insurance  Company  ("Penn  Life"),  PennCorp Life Insurance
Company of Canada ("PennCorp  Life"),  Marquette National Life Insurance Company
("Marquette"), and Union Bankers Insurance Company ("Union Bankers"). The latter
six Insurance Subsidiaries were acquired by the Company on July 30, 1999.

         Historical   information  about  the  Company,   American  Progressive,
American Pioneer, American Exchange and WorldNet and their business is set forth
in the Company's  Annual Report on Form 10-K for 1998, and subsequent  Quarterly
Reports on Form 10-Q and  Current  Reports on Form 8-K.  Historical  information
about the Company's other  subsidiaries,  for periods prior to their acquisition
on July 30, 1998, and unaudited Pro Forma Financial Information giving effect to
the  acquisition of these  subsidiaries  as of January 1, 1998, are set forth in
the Company's Proxy Statement dated July 12, 1999. Future  information about the
Company,  its subsidiaries and its business will be set forth in its future Form
10-Ks,  10-Qs and 8-Ks. All of the Annual,  Quarterly and Current 10-K, 10-Q and
8-K and  the  relevant  portions  of the  Proxy  Statement  referred  to in this
paragraph, and any amendments thereto, are incorporated herein by reference.
See "Documents Incorporated by Reference"

         The  principal  executive  office  of  the  Company  is  located  at  6
International  Drive,  Suite 190, Rye Brook, NY 10573.  The Company's  telephone
number is (914) 934-5200.


Use of Proceeds

         The entire  proceeds of this  offering will be received by the Company,
which will pay the cost of the Offering, estimated at $25,000. The proceeds will
be used as working capital by the Company and its subsidiaries.


<PAGE>



The Offering

Securities Offered:                 2,015,760 shares of Common Stock.

Securities Outstanding Prior to the Offering:
         Common Stock                       43,159,302  Shares (1)
         1999 Warrants                       2,612,187         (2)
Securities to be Outstanding after Completion of the Offering:
         Common Stock                       45,771,489 Shares
         1999 Warrants                      None (3)

(1)   As of September  30,  1999.  Does not include  3,566,784  shares of Common
      Stock  reserved  for issuance  under the  Company's  various  stock option
      plans, its Agent Stock Purchase Plan, and its Agents Deferred Compensation
      Plan.
(2)   Each Warrant is exercisable  for the purchase of one share of Common Stock
      for $1.00, subject to adjustment pursuant to anti-dilution provisions, and
      expires on December 31, 1999. 596,427 of the 1999 Warrants, and the shares
      issuable  thereunder  were  registered  under the  Securities Act upon the
      issuance  of the  Warrants.  The  shares of  Common  Stock  issuable  upon
      exercise  of the  remaining  2,015,760  warrants,  which were  issued in a
      private placement, are offered by this Prospectus.
(3)   Assuming  all  outstanding  1999  Warrants  will be  exercised.  Any 1999
      Warrants not  exercised  will expire on December 31, 1999.

Risk Factors

         An investment in the securities offered hereby involves substantial
risk.  See "Risk Factors".

Nasdaq Symbols

         Common Stock                       UHCO
         1999 Warrants                      UHCOW


<PAGE>












                                  RISK FACTORS

         The  securities  being  offered  hereby  involve   substantial   risks.
Prospective investors, prior to making an investment,  should carefully consider
all of the  information  contained in this  Prospectus  including  the documents
incorporated by reference, and in particular the following risks and speculative
factors inherent in and affecting the business of the Company and the Offering.

The 1999 Acquisition.

         On July 30, 1999, the Company acquired all of the outstanding  stock of
Constitution  Life,  Peninsular  Life, Penn Life,  PennCorp Life,  Marquette and
Union Bankers (the "Acquired Companies").  The Acquired Companies were purchased
from PennCorp  Financial Group,  Inc. for $130.5 million in cash. To finance the
acquisition,  the  Company  issued  29,897,519  shares of its  common  stock for
$94,177,184 ($3.15 per share), of which 26,144,060 shares were issued to Capital
Z  Financial  Services  Fund II  L.P.  and  affiliates  ("Capital  Z"),  and the
remainder  to  managers  and  agents  of the  Company  (including  the  Acquired
Companies)  and pursuant to the exercise of preemptive  rights by former holders
of the  Company's  Series C-1  Preferred  Stock.  The  balance of the funds were
provided  by a senior  debt  financing  of $80  million  through  a bank  credit
facility  provided by a syndicate of banks led by the Chase  Manhattan  Bank and
Chase Securities, Inc.
         The  acquisition  of the  Acquired  Companies is expected to enable the
Company to expand its product and  policyholder  base,  generating  growth which
will allow the Company to achieve long-term economies of scale, to cut costs and
increase  profits.  However,  there is no  guarantee  that these  benefits  will
materialize.
         The  factors  that could  prevent  the  Company  from  realizing  these
benefits  and could  possibly  materially  and  adversely  affect the  Company's
financial condition and results of operation, include:
     -The Company may not be  successful in  coordinating  and  integrating  the
     operations  and  business  enterprises  of the  Company  and  the  Acquired
     Companies  and,  consequently,  the Company  may not  realize the  expected
     benefits of the acquisition.
     -The  Company  will  have to  service a  greater  amount of debt  after the
     acquisition  which  will  require  dividend  payments  from  the  Insurance
     Subsidiaries  and the ability of its  Insurance  Subsidiaries  to make such
     dividend  payments  is  subject  to  certain  legal  restrictions.  Greater
     leverage presents a greater degree of financial risk and the failure of the
     Company  to meet its  debt  obligations  would  likely  have a  significant
     adverse financial impact on the Company.
     -The  primary  strategic  reason  for  the  acquisition  is  to  add  a new
     distribution  channel to the Company -- namely, the career agency system of
     Penn Life. This career agency system, which will continue to write business
     with Penn Life, will operate  independently  from the general agency system
     that  will  continue  to  write  business   through  the  other   Insurance
     Subsidiaries  of the Company.  The addition of this new channel is expected
     to have no effect on the  compensation  or operations of the general agency
     system.  However,  the change in the Company's operating strategy caused by
     the  utilization  of the  career  sales  force  of  Penn  Life  may  not be
     successful.
     -The  anticipated  long-term  economies  of scale may fail to  materialize,
     adversely affecting the Company's cash flow and earnings before taxes.

Competition

         Most  of  the  markets  in  which  the  Company   competes  are  highly
competitive.  The Insurance  Subsidiaries are in direct competition with a large
number of insurance companies,  many of which offer a greater number of products
through a greater number of agents and have greater  resources than the Company.
This  competitive  environment  could result in lower  premiums,  less favorable
underwriting  terms  and  conditions,  loss of  underwriting  opportunities  and
reduced profitability.
         Increased public and regulatory concerns regarding the financial
stability of insurance  companies have resulted in policyholders placing greater
emphasis upon company ratings and have created some measure of competitive
advantage for insurance  carriers with  higher  ratings.  As of the date of this
Prospectus,  A.M.  Best & Co., a leading  insurance company rating  agency,  has
assigned a "B+"1 rating to American  Pioneer,  American  Progressive,
Constitution  Life, PennLife and Union Bankers.  A.M. Best has rated  Peninsular
Life "FPR5".  2 The other Insurance  Subsidiaries  are not rated  by  A.M. Best.
For more current information, consult the subsequent reports of the Company
which are incorporated by reference.  See "Documents Incorporated by Reference."
If those ratings  were  downgraded  from their  current  levels,  sales of the
Company's products could be adversely affected.
- ---------------------------
1    In evaluating a company's  financial and operating  performance,  A.M. Best
     reviews profitability, leverage and liquidity as well as the quality of the
     book of business,  the adequacy and soundness of reinsurance programs,  the
     quality and  estimated  market  value of assets,  reserve  adequacy and the
     experience and competence of management. A.M. Best's ratings are based upon
     factors  relevant  to   policyholders,   agents,   insurance   brokers  and
     intermediaries  and  are  not  directed  to the  protection  of  investors.
     According to A.M. Best's published  material,  a "B+" rating is assigned to
     companies  which,  in its  opinion,  have  demonstrated  very good  overall
     performance  when compared to the standards it has  established.  Companies
     rated B+ have a good ability to meet their  obligations  to  policyholders.
     The  Insurance  Subsidiaries  are not  known to be  currently  rated by the
     Standard & Poors, Duff and Phelps or Moody's rating organizations.
2    According to A.M. Best's published material,  an FPR5 rating is assigned to
     companies,  which,  in  its  opinion,  based  primarily  on a  quantitative
     evaluation of a company's financial strength and operating performance.

Health Care Reform

         From time to time numerous  proposals have been  introduced in Congress
and the state  legislatures to reform the current health care system.  Proposals
have included, among other things,  employer-based insurance systems, subsidized
premiums for lower income  people,  "managed  competition"  among health  plans,
programs  to  regulate  policy  availability  and  affordability  and public and
private programs.  Changes in health care policy could significantly  affect the
Company's health insurance business.
         Whether or not Congress passes any of these measures in the foreseeable
future, it is likely that these items will reappear on the legislative agenda in
the near future. Federal comprehensive major medical insurance,  if implemented,
could partially or fully replace some of the Company's current products.  Reform
proposals also could involve  standardization of major medical or long-term care
coverages, impose mandated or target loss ratios or rate regulation, require the
use of  community  rating or other  means that limit the  ability of insurers to
differentiate  among risks, or mandate  utilization review or other managed care
concepts to determine  what benefits  would be paid by insurers.  These or other
proposals  could  increase or decrease  the level of  competition  among  health
insurers. In addition,  changes could be made in Medicare that could necessitate
revisions  in  the  Company's  Medicare  supplement  products.  Other  potential
initiatives, designed to tax insurance premiums or shift medical care costs from
government to private  insurers,  could have an adverse  effect on the Company's
business.  The Company is unable to predict what changes to the country's health
care system will be enacted, if any, or their effects on the Company's business.
         Since April 1, 1993,  New York State has required all health  insurance
sold to individuals and groups with less than 50 employees,  to be offered on an
open  enrollment and community rated basis.  This  legislation has had a limited
effect on the  Company's  business,  primarily  on the Medicare  supplement  and
senior hospital cash business being written by American Progressive,  as well as
a limited  amount of its  other in force  medical  insurance.  The  adoption  of
similar  legislation  in other states  where the Company  writes or has in force
health  insurance  written  on the basis of medical  underwriting  could have an
adverse  effect on such  business  and could  require  the Company to curtail or
eliminate the writing of such business.

Government Regulation

         The Insurance Subsidiaries are subject to regulation and supervision by
the Insurance  Departments of their  domiciliary  jurisdictions  -- Texas in the
case of American  Exchange,  Constitution  Life,  Marquette  and Union  Bankers,
Florida  in the case of  American  Pioneer,  New  York in the  case of  American
Progressive,  North Carolina in the case of Peninsular Life, Pennsylvania in the
case of Penn Life and Canada in the case of PennCorp Life.  Each is also subject
to regulation and  supervision in the Insurance  Department of each of the other
states or provinces in which it is admitted. Such supervision and regulation are
largely for the benefit and protection of  policyholders  and not  shareholders.
Such regulation and supervision by the Insurance Departments extend, among other
things, to the declaration and payment of dividends,  the setting of rates to be
charged for certain accident & health insurance,  the granting and revocation of
licenses  to transact  business,  approval  of forms,  establishment  of reserve
requirements,  regulation  of  maximum  commissions  payable,  and the  form and
content of statutorily-mandated financial statements.
         The  Company is also  regulated  under the  insurance  holding  company
statutes of the jurisdictions in which the Insurance Subsidiaries are domiciled.
These laws require prior regulatory  agency approval of changes in control of an
insurer  and of certain  transactions  within  the  holding  company  structure.
Generally,  these laws  provide  that no one may acquire  control of a domiciled
insurer, such as one of the Insurance Subsidiaries, or of the holding company of
such an insurer, such as the Company, unless it has given notice to such insurer
and has obtained  prior  written  approval of the  insurance  regulator for such
acquisition.  Under  these  laws any  owner  of a  specified  percentage  of the
outstanding  voting securities of the Company would be presumed to have acquired
control of the  Company,  unless such  presumption  is rebutted.  The  specified
percentage is 5% under Florida  Insurance  Law, 10% under the insurance  laws of
New York, North Carolina,  Pennsylvania and Texas and the federal and provincial
laws of Canada. Any person intending to acquire such control must give notice to
the  affected   insurer  and  the  Insurance   Department  of  its   domiciliary
jurisdiction before consummation of such acquisition.  The Insurance  Department
may prevent or require reversal of such an acquisition in certain cases.

Other Possible Changes in Legislation

         Since insurance is a regulated business, with a high public profile, it
is always  possible that  legislation may be enacted which would have an adverse
effect on the Company's business.
         Another  important portion of the Company's  insurance  business is the
sale of  deferred  annuities  and certain  life  insurance  products,  which are
attractive to purchasers in part because policyholders generally are not subject
to federal  income tax on increases in the value of an annuity or life insurance
contract until some form of distribution is made from the contract. From time to
time,  Congress  has  considered  proposals  to  reduce  or  eliminate  the  tax
advantages  of annuities and life  insurance  which,  if enacted,  might have an
adverse  effect on the ability of the Company to sell the  affected  products in
the future.  The Company is not aware that Congress is actively  considering any
legislation  that would reduce or eliminate  the tax  advantages of annuities or
life insurance;  however,  it is possible that the tax treatment of annuities or
life  insurance  could change by  legislation  or other means (for  example,  by
Internal Revenue Service regulations or judicial decisions).
         Certain changes in insurance and tax laws and regulations  could have a
material  adverse  effect on the  operations  of insurance  companies.  Specific
regulatory  developments  which  could  have a  material  adverse  effect on the
operation  of the  insurance  industry  include,  but are not  limited  to,  the
potential repeal of the McCarran-Ferguson Act (which exempts insurance companies
from a variety of federal regulatory  requirements),  and adoption of laws, such
as  those  already  in force in New  York,  limiting  an  insurer's  ability  to
medically   underwrite  and  rate  health  insurance   policies  or  to  exclude
pre-existing  conditions from coverage. In addition,  the administration of such
regulations  is  vested  in state  agencies  which  have  broad  powers  and are
concerned primarily with the protection of policyholders.

Investment Performance

         The assets of the Company are  invested  primarily  in  government  and
corporate  fixed  maturity  securities  and cash  equivalents.  Under  generally
accepted accounting principles ("GAAP"), fixed maturity securities owned by life
insurance  companies are  classified in one of three  categories  depending upon
whether  the  Company  intends  to hold them  until  maturity,  regards  them as
available  for sale or  intends  to trade such  securities.  The fixed  maturity
securities  held by the  Insurance  Subsidiaries  are in the  available for sale
category and are carried on the Company's books at fair value. See "Management's
Discussion    and   Analysis   of   Financial    Condition    and   Results   of
Operations--Liquidity" in the Documents Incorporated by Reference.
         The Company has invested in a limited  number of  non-investment  grade
fixed maturity  securities,  which provide higher yields than  investment  grade
securities.  Further  information  about these investments and disclosures as to
any of the  Company's  investments  which were in default with respect to either
interest or principal is set forth in the Documents Incorporated by Reference.

Asset Liability Matching

         The Company's  investment  policy is to balance the  portfolio  between
long-term and  short-term  investments  so as to continue to achieve  investment
returns consistent with the preservation of capital and maintenance of liquidity
adequate to meet  payment of policy  benefits and claims.  This asset  liability
matching policy includes the continuous  analysis of market conditions and other
factors  pertaining  to its  invested  assets.  The Company  maintains  adequate
amounts of cash and short-term  investments to fund expected policy benefits and
surrenders.  It therefore does not expect to have to prematurely sell securities
for such  purposes.  However,  it may decide to sell  securities  as a result of
changes in interest  rates,  credit  quality,  the rate of  prepayment  or other
similar factors. Moreover, a significant increase in market interest rates might
result in a situation  in which the Company is  required to sell  securities  at
depressed  prices to fund such  payments  to  policyholders.  Since the  Company
classifies all of its fixed maturity  portfolio as available for sale, which are
carried at fair value, it is expected that these  securities  would be sold with
no  material  impact on the net equity of the  Company.  As  required by certain
state insurance departments,  the Company performs tests to assess the impact of
various  interest  rate and lapse rate  scenarios  on the adequacy of the assets
held to meet policyholder liabilities.

Mortality, Morbidity and Reserves

         Through  underwriting  and  reinsurance,  the Company has  attempted to
limit its mortality and morbidity  exposure,  and has  established  reserves for
claims and future policy  benefits  based on accepted  actuarial  methodologies.
There can be no assurance,  however, that these estimated reserves will prove to
be  sufficient  or that the Company  will not  experience  adverse  mortality or
morbidity experience which would result in operating losses.

Reliance on Reinsurance

         In order to reduce risk and to increase its underwriting  capacity, the
Company obtains  reinsurance from  reinsurers.  The Company is subject to credit
risk with respect to its  reinsurers  because  reinsurance  does not relieve the
Company of its  liability  to its  insureds  for the risks ceded to  reinsurers.
Although the Company places its  reinsurance  with  reinsurers it believes to be
financially  stable,  a reinsurer's  subsequent  insolvency or inability to make
payments under the terms of a reinsurance  treaty could have a material  adverse
effect on the Company.
         The amount and cost of reinsurance available to companies  specializing
in life  and  accident  & health  insurance  are  subject,  in  large  part,  to
prevailing market  conditions  beyond the control of the Company.  The Company's
ability to provide insurance at competitive premium rates and coverage limits on
a continuing  basis depends to a  significant  extent upon its ability to obtain
adequate  reinsurance in amounts and at rates that will not adversely affect its
competitive position.
         No assurances can be given as to the Company's  ability to maintain its
current reinsurance  facilities,  which generally are subject to annual renewals
and 90-day cancellation. Such renewal or cancellation affects new business only,
and the reinsurer remains liable on all business insured prior to non-renewal or
cancellation  as long as it  remains in force.  If the  Company  were  unable to
maintain or replace its reinsurance  facilities  upon their  expiration and were
unwilling  to bear the  associated  increase in exposure  on new  business,  the
Company  would  need  to  reduce  the  amount  of new  business  that  it  could
underwrite.

Control by Capital Z

         As a result of the transactions described above under the heading "1999
Acquisition",  Capital  Z now owns  60.7% of the  Company's  outstanding  common
stock.  The  Company's  Board  consists  of nine  directors.  As a  result  of a
shareholders  agreement  entered  into  between  Capital  Z  and  certain  other
shareholders,  including Richard A. Barasch, Chairman,  President and CEO of the
Company, and AAM Capital Partners, L.P. ("AAM"),  affiliates which own 2,399,414
shares  of  the  Company's   outstanding   common  stock.  The  parties  to  the
shareholders  agreement  are  obligated to vote their shares for the election of
directors  nominated as follows:  Capital Z -- four;  Mr. Barasch -- two, AAM --
one, and the Company -- two.  Because of Capital Z's majority  stock  ownership,
Capital Z also  effectively  controls  the  election of the two  directors  that
Universal American is entitled to nominate.
         Thus,  Capital Z is able to elect a majority of the Board of  Directors
of the Company and to approve or disapprove any corporate  action submitted to a
vote of the Company's shareholders.

Possible  Anti-Takeover  Effects of the Restated Certificate of Incorporation,
Insurance Law Provisions and of the 1998 Plan

         The  concentration of ownership of the Company by Capital Z could delay
or  prevent  an  advantageous  change  in  control  of the  Company,  or  have a
depressive effect on the trading market for the Company's common stock.
         See  "Government  Regulation"  for a discussion of the  requirement  of
insurance  department  approval of any  acquisition  of control of the  Company,
which may have the effect of discouraging any such acquisition.
         The Company's  1998 Incentive  Compensation  Plan which was approved by
the  shareholders of the Company in June,  1998 (the "1998 Plan"),  provides for
immediate  vesting  of all  Awards  under the  Plan,  including  stock  options,
restricted  stock and stock  appreciation  rights,  in the event of a "change of
control," unless otherwise provided in part under Awards. "Change in Control" is
defined in the 1998 Plan as: (i) the  acquisition  by any person (as defined) of
securities  having 30% or more of the combined  voting power of the  outstanding
securities  of  the  Company,  or a  subsidiary;  (ii)  certain  changes  in the
composition of the Board;  (iii) a merger or  consolidation as a result of which
the shareholders of the Company  immediately  before the merger or consolidation
own less than 50% of the voting securities of the entities or entities surviving
the merger or  consolidation,  (iv) the sale or disposition of substantially all
of the Company's assets, or (v) any other event which the Board determines would
materially alter the status of the Company or its ownership.

Impact of Year 2000

         The Year 2000 issue is the result of computer  programs  being  written
using two digits  rather than four to define the  applicable  year. As a result,
those computer programs have time-sensitive software that recognize a date using
"00" as the year 1900  rather  than the year  2000.  This  could  cause a system
failure or miscalculations causing disruptions of operations,  including,  among
other things, a temporary inability to process  transactions,  send invoices, or
engage in similar normal business  activities.  For information about the status
of the Company's  plans to resolve the Year 2000 issue,  and the risks resulting
from the Year 2000 issue, see the Documents Incorporated by Reference.

Market in Publicly Traded Securities

         The Company's  Common Stock is currently  listed on the Nasdaq National
Market.  See the Documents  Incorporated  by Reference for information as to its
average daily trading volume.

Effect of Future Sales of Additional Shares

         The following  shares of the Company's Common Stock are, or when issued
will be, freely tradeable:  (i) the Company's presently outstanding Common Stock
which has been registered  under the Securities Act or has become  transferrable
without such  registration  pursuant to Rule 144 under the Securities  Act, (ii)
the 596,427  shares of such Common Stock which will be issuable upon exercise of
the 1999 Warrants,  including those offered by this Prospectus,  and (iii) those
of the 1,311,301  shares of common stock which are purchased under the Company's
various option,  agent stock purchase and deferred  compensation plans which are
registered under the Securities Act.
         Additional  outstanding  shares of  Common  Stock  which  have not been
registered  under the  Securities  Act may become  eligible  for sale by certain
holders either (i) under Rule 144 of the Securities  Act,  subject to the volume
and timing  requirements  of Rule 144, or (ii) pursuant to  registration  rights
granted to the holders  thereof.  The Company may also at any time in the future
issue  additional  Common Stock or securities  convertible into Common Stock, in
transactions  which are registered  under the Securities Act or in  transactions
exempt from such registration.  In either case, the resulting Common Stock would
either immediately be freely tradeable or may become so tradeable in the future.
         An  increase  in the  number  of shares of  Common  Stock  that  become
available for sale in the public  market may adversely  affect the trading price
of the Common Stock in the public market and could impair the Company's  ability
to raise additional capital through the future sale of its equity securities.

                                              USE OF PROCEEDS

         The net  proceeds  to the  Company  from the sale of the  Common  Stock
offered hereby will be used by the Company for working capital.

                                          ADDITIONAL INFORMATION

Documents Incorporated by Reference

         The  Company  is  subject  to  the  information   requirements  of  the
Securities  Exchange  Act of 1934,  as  amended  (the  "Exchange  Act"),  and in
accordance  therewith,  files  periodic  reports,  proxy  statements  and  other
information with the Securities and Exchange Commission (the "Commission").
          The following  documents  filed by the Company with the Commission are
incorporated  herein by reference:


         (a) The Company's  Annual Report on Form  10-K  for the  year  ended
             December  31,  1998, filed  with the Commission (File No. 0-11321).
         (b) The Company's Proxy Statement dated July 12, 1999;
         (c) Quarterly reports on Form 10-Q filed on May 17, 1999, August 16,
             1999 and November 15, 1999; and
         (d) Current Reports on Form 8-K filed on August 13, 1999 and January 7,
             1999.


         The Documents  Incorporated by Reference may contain  statements  which
are  forward-looking  and are identified by the use of forward-looking  words or
phrases  such  as  "intended,"  "will  be  positioned,"  "expects,"  "is  or are
expected,"  "anticipates," and "anticipated." These  forward-looking  statements
are based on the  Company's  expectations  at the time such  documents are filed
with the  Commission.  To the extent  any of the  information  contained  in the
Documents Incorporated by Reference is a "forward-looking  statement" as defined
in  Section  27A(i)(1)  of the  Securities  Act of 1933,  there  are a number of
important  factors that could cause results to differ  materially  from those in
the  forward-looking   statement.   Realization  of  management's   beliefs  and
projections  will  depend  on  a  number  of  factors,   including  management's
successful  execution  of its business  plan;  the  condition  of the  insurance
market; the pricing of products and services; overall economic trends, including
interest rate trends; impact of the Year 2000; stock market activity; employment
levels; changes in technology;  changes in insurance laws and regulations; other
factors beyond the Company's control, and other factors identified in cautionary
statements included in the Documents Incorporated by Reference.
          Any statement contained in a document incorporated herein by reference
which  is  dated  prior to the date of this  Prospectus  shall be  deemed  to be
modified or  superseded  for  purposes of this  Prospectus  to the extent that a
statement contained herein modifies or supersedes such statement.  Any statement
in the  Prospectus  shall be deemed to be modified or superseded for purposes of
this  Prospectus  to the extent that a statement in a document  incorporated  by
reference which is dated  subsequent to the date of this Prospectus  modifies or
supersedes such  statement.  Any statement  modified or superseded  shall not be
deemed, except as modified or superseded, to constitute part of this Prospectus.
          This Prospectus shall be accompanied by the Company's most recent Form
10-K as well as any Form 10-Q or Form 8-K filed for any period  after the end of
the year for which  the Form  10-K was  filed,  and any  amendments  to any such
Reports.  The Company  will  provide to each person to whom this  Prospectus  is
delivered  upon written or oral request of such person,  a copy of the Documents
Incorporated by Reference into this  Prospectus (not including  exhibits to such
documents unless the exhibits are specifically requested).


Registration Statement

         Additional  information  regarding the Company and the shares of Common
Stock offered hereby is contained in the Registration  Statement on Form S-2 and
the exhibits thereto (the "Registration  Statement"),  filed with the Commission
under the Securities Act of 1933, as amended (the  "Securities  Act"),  of which
this  Prospectus  forms  a  part.  This  Prospectus  does  not  contain  all the
information set forth in the Registration Statement,  certain parts of which are
omitted  in  accordance  with  the  rules  and  regulations  of the  Commission.
Statements  made in  this  Prospectus,  including  statements  in the  Documents
Incorporated  by  Reference  concerning  the  contents of any  contract or other
document are not necessarily  complete. In each instance where reference is made
to such  contract or other  document  which is filed with the  Commission  as an
exhibit to the  Registration  Statement or a document  incorporated by reference
filed  with the  Commission  as an  exhibit  to the  Registration  Statement  or
document by reference,  each statement  about such contract or other document is
qualified and amplified, in all respects, by such reference.

How to Obtain Documents Incorporated by Reference and Registration Statements.

         The Company  will  provide  without  charge to each person to whom this
Prospectus is delivered,  on the written or oral request of such person,  a copy
of any document incorporated herein by reference,  excluding exhibits.  Requests
should be made to:

                                    Universal American Financial Corp.
                                           6 International Drive
                                                 Suite 190
                                            Rye Brook, NY 10573
                                         Attn: Corporate Secretary
                                              (914) 934-5200

         The Registration Statement, and the reports, proxy statements and other
information  filed by the Company with the  Commission can be read and copied at
the SEC's Public  Reference  Room at 450 Fifth Street,  N.W.,  Washington,  D.C.
20549.  The  public  may  obtain  information  on the  operation  of the  Public
Reference Room by calling the Commission at 1-800-SEC-0330. The SEC maintains an
Internet site that contains reports, proxy and information statements, and other
information  regarding  issuers that file  electronically  with the  Commission,
including  the  Company.  The  address  of the  Commission's  Internet  site  is
http://www.SEC.gov.

Annual Reports

         The Company  furnishes  to the holders of its Common Stock and its 1999
Warrants,  after the close of each  fiscal  year,  an annual  report  containing
audited financial  statements with a report thereon by an independent  certified
public accountant.  Quarterly reports containing unaudited financial information
for the first three quarters of each fiscal year may be furnished by the Company
to the holders of its Common Stock from time to time.

                                  HOW TO EXERCISE UNREGISTERED WARRANTS

Holders of Unregistered Warrants who wish to exercise them should:
     -Complete the Subscription Form on the reverse side of the warrant
certificate, being sure to indicate:
                     -The number of shares being purchased.
                     -The name in which the shares are to be issued.
                     -The social security number or tax identification  number
                      of the person or entity in whose name the shares are to be
                      issued.
                     -The address to which the shares are to be delivered.
                     -The name and address of the warrant holder.
                     -The date of execution.
     The Subscription  Form must be signed by the person or entity in whose name
     the Warrant is  registered.  If the form is being  signed by another,  duly
     authorized  person,  evidence  of  the  signer's  authority  --  such  as a
     certificate of letters testamentory or of administration, in the case of an
     executor, administrator or personal representative,  or a power of attorney
     -- must be submitted with the Subscription  Form. If the Common Stock being
     purchased is to be  registered in a name  different  from the name in which
     the Warrant is registered,  the signature on the Subscription  Form must be
     guaranteed by a commercial bank or a member firm of a U.S. registered stock
     exchange.

     -Deliver  or send  the  Warrant  certificate,  with the  Subscription  Form
     completed,  together  with a check or money order made payable to Universal
     American Financial Corp. for the full purchase price to:

                                    UNIVERSAL AMERICAN FINANCIAL CORP.
                                     6 International Drive, Suite 190
                                         Rye Brook, New York 10573
                             Attn: Robert A. Waegelein, Senior Vice President
                                        and Chief Financial Officer

     The  Company  recommends   sending  Warrant   certificates  and  checks  by
     registered  or  certified  mail  (if  mailed   sufficiently  prior  to  the
     Expiration Date to insure  delivery) or the use of expedited  services such
     as Express  Mail,  Federal  Express or United Parcel  Service.  The Company
     assumes no responsibility for loss or delays in delivery of such documents.

     -If funds for the purchase  price are to sent by wire,  they should be sent
     to:

                                        Chase Manhattan Bank, N.A.
                                          White Plains, New York
                                              ABA # 021000021
                                           Account #: 590133276
                           Account Reference: Universal American Financial Corp.

     and the Warrant  certificate with the Subscription Form completed should be
     sent as set forth above,  with a cover note  indicating  that funds will be
     sent by wire. Both the funds and the Warrant should be sent so as to arrive
     prior to 5 p.m., New York time on the Expiration Date.

     -Alternatively,  Unregistered  Warrants  may be  exercised  by the delivery
     prior to 5:00 P.M., New York Time, on the Expiration  Date of the following
     items:
              -the full subscription  price of the shares of Common Stock being
               purchased by wire transfer or otherwise, and

              -a guarantee in writing,  by telegram or by facsimile  from a bank
              or trust  company or a member  firm of any U.S.  registered  stock
              exchange that the certificate evidencing the Unregistered Warrants
              being exercised, with the Subscription Form completed, has been or
              will be, promptly transmitted to the address indicated immediately
              below.  Such  guarantee  shall  set  forth  the name in which  the
              Unregistered   Warrants  being  exercised  are   registered,   the
              certificate  number of the Unregistered  Warrants being exercised,
              and the number of shares being purchased.

     Such funds and guarantee shall be delivered to:

                                    UNIVERSAL AMERICAN FINANCIAL CORP.
                                     6 International Drive, Suite 190
                                         Rye Brook, New York 10573
                             Attn: Robert A. Waegelein, Senior Vice President
                                        and Chief Financial Officer
                                             Fax: 914-934-9123

     If payment has been  received and  delivery of the  Warrants and  completed
     Subscription  Forms has been  guaranteed as set forth above prior to 5 p.m.
     on the Expiration Date,  delivery of the actual  Unregistered  Warrants and
     completed  subscription  form will be accepted for five NASDAQ trading days
     after the Expiration Date.

     -Holders  of  Unregistered  Warrants  who  have  lost  or  misplaced  their
     certificate  or  certificates  should  contact the Company at the following
     address, sufficiently prior to the Expiration Date as to allow arrangements
     to be made to replace the missing certificate:

                                    UNIVERSAL AMERICAN FINANCIAL CORP.
                                     6 International Drive, Suite 190
                                         Rye Brook, New York 10573
                               Attn: Joan M. Ferrarone, Corporate Secretary
                                            Phone: 914-934-5200
                                             Fax: 914-934-9123

     -The  Company  reserves  the  right,  in  its  sole  discretion,  to  waive
     informalities or defects in the exercise of Unregistered Warrants. Warrants
     not  exercised in the manner set forth herein by the 5 p.m.,  New York time
     on December 31, 1999, will expire and be of no further value.



                                         DESCRIPTION OF SECURITIES
General

         Set forth below is a description  of the material  terms and provisions
of the  equity  securities  of  the  Company  being  registered.  The  following
description  does not purport to be complete and is subject to and  qualified in
its entirety by reference to the Certificate of  Incorporation,  as amended (the
"Certificate of Incorporation"),  and the Bylaws, as amended (the "Bylaws"),  of
the  Company.  The  Certificate  of  Incorporation  and the  Bylaws are filed or
incorporated  by  reference as exhibits to the  Registration  Statement of which
this Prospectus forms a part.

Preferred Stock

         The Company is authorized to issue 2,000,000 shares of Preferred Stock.
The Board of Directors of the Company is authorized, without further shareholder
action,  to divide  any or all  shares of the  authorized  Preferred  Stock into
series and to fix and  determine  the  designations,  preferences  and relative,
participating, optional or other special rights, and qualifications, limitations
or restrictions thereon, of any series so established,  including voting powers,
dividend  rights,  liquidation  preferences,  redemption  rights and  conversion
privileges.  There are presently no shares of preferred stock outstanding and no
plans,  agreements or  understandings  for the  authorization or issuance of any
additional shares of preferred stock.

Common Stock

         The Company is authorized  to issue 80 million  shares of Common Stock,
par  value  of $.01 per  share.  As of  September  30,  1999,  the  Company  had
43,159,302  issued and outstanding  shares of Common Stock and 3,566,784  shares
reserved for issuance pursuant to outstanding  options and warrants.  Holders of
Common Stock are  entitled to such  dividends as may be declared by the Board of
Directors from assets legally available for that purpose and are entitled at all
meetings  of  shareholders  to one  vote for each  share  held by them,  without
provision for cumulative voting. In the event of the liquidation of the Company,
all assets available for distribution to the holders of the Common Stock,  after
payment of the amount, if any,  distributable to the holders of preferred stock,
are distributable among them according to their respective holdings.  The Common
Stock is not redeemable and has no preemptive  rights. The shares offered hereby
will be, and all of the  outstanding  shares of Common Stock are, fully paid and
nonassessable.

Certain Provisions of Certificate of Incorporation, Bylaws and New York Law

         The Company's  Restated  Certificate of  Incorporation  provides that a
merger or consolidation of the Company with another corporation (the "Acquirer")
which,  together with its affiliates (as defined in the Restated  Certificate of
Incorporation)  owns  or  controls,  directly  or  indirectly,  5%  or  more  of
outstanding voting power of the Company, or the sale of substantially all of the
Company's assets or business to the Acquirer, shall require the affirmative vote
of the holders of sixty-six and two-thirds percent (66-2/3%) of the voting power
of all outstanding shares of the Company's  outstanding Common Stock, unless (a)
such  transaction was approved by resolution of the Company's Board of Directors
prior to the acquisition of 5% of the outstanding  shares by the Acquirer or its
affiliates, or (b) the Company owns 50% or more of the total voting power of the
Acquirer.
         The Company's Restated  Certificate of Incorporation also requires that
the following actions by the Company require approval of not less than sixty-six
and two-thirds percent (66-2/3%) of the total number of directors:
          (a)(i)  a  merger  or  consideration  of  the  Company  or a  material
subsidiary,  or in which the Company's securities are being issued, in which the
Company's  shareholders  do not own a majority  of the  post-transaction  voting
securities  entitled  to elect the board of  directors;  (ii) the sale of all or
substantially  all  of  the  Corporation's  assets  or  properties;   (iii)  the
disposition of any shares of a material  subsidiary or all or substantially  all
of the assets of such a  subsidiary;  (b) changes the number of  directors;  (c)
changes in the Certificate of Incorporation;  (d) electing or removing executive
officers,  or changing the  employment  agreement  entered into between  Richard
Barasch and the Company on July 30, 1999;  (e) dissolving the Company or seeking
protection  of   bankruptcy   laws;   and  (f)  approving   dividends  or  other
distributions with respect to Common Stock.
         The Company is subject to several  anti-takeover  provisions  under New
York law that apply to certain public  corporations,  including  those organized
under New York  law,  namely  Section  912  (Requirements  Relating  to  Certain
Business  Combinations) and Article 16 (Security Takeover Disclosure Act) of the
New York Business Corporation Act. Among other things, these provisions prohibit
a publicly-held  New York corporation from engaging in a "business  combination"
with an  "interested  shareholder"  for a period of five years after the date of
the transaction in which the person became an interested shareholder, unless (a)
the  business  combination  is  approved  by a  majority  of the  non-interested
shareholders,  (b) the  transaction  in which such person  became an  interested
shareholder  was approved by the board of directors of the  corporation,  or (c)
the cash and other  consideration  to be issued to the  holder of each  share of
common stock of the corporation,  valued as provided in the statute, is at least
equal to a per share value determined in a manner, and as of a date, provided in
the statute. A "business  combination"  includes mergers,  asset sales and other
transactions resulting in a financial benefit to the shareholder. An "interested
shareholder" is a person who, together with affiliates and associates, owns (or,
in the case of affiliates and associates of the issuer,  did own within the last
five years) 20% or more of the corporation's voting stock.
         These  provisions also require certain persons making a tender offer or
a takeover bid for outstanding shares of certain New York corporations to file a
registration  statement with the Attorney  General and with the  corporation for
whose stock the tender is being made. The registration  statement should include
the items designated in the statute. Additional requirements, as provided in the
statute, apply to takeover bids not subject to the requirements of Section 14(d)
of the  Exchange  Act. A  "takeover  bid" means the  acquisition  of or offer to
acquire,  pursuant to a tender offer or request or invitation  for tenders,  any
equity security of a target company,  if after  acquisition,  the offeror would,
directly or indirectly,  be a beneficial  owner of more than five percent of any
class of the issued and outstanding  equity securities of such target company. A
"takeover  bid" does not  include  (a) bids made by a dealer  for his or her own
account in the ordinary  course of business of buying and selling such security;
(b) an offer to  acquire  such  equity  security  solely in  exchange  for other
securities,  or the acquisition of such equity security  pursuant to such offer,
for the sole  account of the  offeror,  in good faith and not for the purpose of
avoiding  this  Section,  and not  involving  any public  offering of such other
securities  within the  meaning of Section  four of title one of the  Securities
Act, (c) any other offer to acquire an equity  security,  or the  acquisition of
such  equity  security  pursuant  to such  offer,  for the sole  account  of the
offeror,  from not more  than  fifty  offerees,  in good  faith  and not for the
purpose of avoiding provisions of this article, or (d) any offer, where prior to
making the offer, the offeror owns a majority of the voting equity securities of
the target company.

Transfer Agent

         The transfer agent for the Company's  Common Stock and the registered
1999 Warrants is American Stock Transfer & Trust Company.

                                               LEGAL MATTERS

         Certain legal matters in connection with the validity of the securities
offered  hereby  will be passed  upon for the Company by the law firm of Harnett
Lesnick & Ripps P.A., of Boca Raton, Florida.
         Bertram Harnett, Irving I. Lesnick and Judith A. Ripps, shareholders in
such law firm,  in the  aggregate  directly own 85,304  shares of the  Company's
Common Stock,  1999 Warrants to purchase  12,095 shares of the Company's  Common
Stock and  non-qualified  options to acquire 30,500  additional shares of Common
Stock.  A trust  established  by Mr.  Harnett  for the benefit of members of his
family, owns 50,000 shares of Common Stock and 339,901 of the 1999 Warrants,  in
which Mr.  Harnett  disclaims  any  beneficial  interest.  The law firm was paid
$317,864  during the calendar year 1998, on account of its legal services to, as
well as reimbursement for disbursements made on behalf of, the Company.



                                                  EXPERTS

The consolidated  financial statements of Universal American Financial Corp. and
subsidiaries incorporated by reference appearing in Universal American Financial
Corp.'s  Annual  Report (Form 10-K) for the year ended  December 31, 1998,  have
been audited by Ernst & Young LLP, independent  auditors,  as set forth in their
report  thereon  included  therein and  incorporated  herein by reference.  Such
consolidated  financial  statements  are  incorporated  herein by  reference  in
reliance  upon such  report  given on the  authority  of such firm as experts in
accounting and auditing.  The combined financial statements of Certain Insurance
Operations of PennCorp  Financial Group, Inc., as of December 31, 1998 and 1997,
and for each of the years in the three-year period ended December 31, 1998, have
been  incorporated  by  reference  herein and in the  registration  statement in
reliance upon the report of KPMG LLP, independent  certified public accountants,
incorporated by reference herein, and upon the authority of said firm as experts
in accounting and auditing.


<PAGE>





                                             2,015,760 Shares







                                    UNIVERSAL AMERICAN FINANCIAL CORP.





                                               Common Stock






                                         -------------------------

                                                PROSPECTUS
                                         ------------------------







                                             November 23, 1999





<PAGE>




                                                       PART II

                                       INFORMATION NOT REQUIRED IN PROSPECTUS


Item 14.  Other Expenses of Issuance and Distribution.

         Other expenses of issuance and  distribution  of the  securities  being
offered are estimated, for purposes of this Offering, as follows:


Securities and Exchange Commission
  Registration Fee                                                        $2,000
NASD Fee (1)                                                               5,000
Legal fees and expenses                                                    5,000
Blue Sky fees and expenses                                                 3,000
Accounting fees and expenses                                               5,000
Printing                                                                   2,000
Transfer agent fees                                                        1,500
Miscellaneous expenses                                                     1,500
                                                                       ---------
                                Total                                  $  25,000
                                                                       =========

(1) Fees are paid when securities are issued.


Item 15.   Indemnification of Directors and Officers.

         As permitted by Section 722 and 723 of New York's Business  Corporation
Law ("BCL"), Article 16 of the Company By-Laws requires the Company to indemnify
to the  greatest  extent  allowed by law,  each of its  directors,  officers and
employees  and  persons  serving as an officer,  director,  employee or agent of
another  Corporation at the Company's  request,  against  liability  (whether by
judgment or  settlement)  and  reasonable  expenses  (including  attorney  fees)
necessarily  incurred  in  defending  any  action  or  proceeding,   brought  or
threatened  against  him,  by reason of his service as such  officer,  director,
employee or agent.

         The Company's  Restated  Certificate of  Incorporation  supplements the
indemnification  rights  of  directors  under  the  Company  By-Laws  so that no
director of the Corporation  shall be held personally  liable to the Corporation
or to its  shareholders  for  damages  for any  breach of duty  while  acting as
director,  unless  (a) it is  found,  by a  judgment  of a  court  of  competent
jurisdiction, or by other adjudication, (i) that said breach of duty, whether an
act or omission,  was committed in bad faith, or involved intentional misconduct
or knowing  violation of the law;  (ii) that said director  personally  gained a
financial  profit or other  advantage  to which  the  director  was not  legally
entitled; or (iii) that the director's acts violated Section 719 of the Business
Corporation  Law; or that the act or omission was committed  before the adoption
of such provision on October 16, 1988.






Item 16.  Exhibits.
  5     Proposed  opinion of Harnett  Lesnick & Ripps,  P.A.  regarding  the
        legality of the  securities being registered.

 10     Material  Contracts.  Material  Contracts filed  as  exhibits  to  the
        Documents  Incorporated  by Reference are  incorporated  as exhibits to
        this Form S-2 by reference.

*11     Statement  re  computation  of per  share  earnings.  Statements
        re computation of per share earnings presented in Documents Incorporated
        by References are incorporated by reference.

 21     Subsidiaries of Registrant.

 23.1   Consent of Ernst & Young LLP

 23.2   Consent of KPMG LLP

 23.2   Consent of Harnett Lesnick & Ripps, P.A.,

 24     Powers of attorney (included on signature page).


* Incorporated by reference as indicated.

Item 17.  Undertakings.

         1.  Insofar  as  indemnification  for  liabilities  arising  under  the
Securities Act of 1933 may be permitted to directors,  officers and  controlling
persons of the registrant  pursuant to the foregoing  provisions,  or otherwise,
the  registrant  has been  advised  that in the  opinion of the  Securities  and
Exchange  Commission such  indemnification is against public policy as expressed
in the Act and is,  therefore,  unenforceable.  In the  event  that a claim  for
indemnification  against  such  liabilities  (other  than  the  payment  by  the
registrant of expenses  incurred or paid by a director,  officer or  controlling
person of the  registrant  in the  successful  defense  of any  action,  suit or
proceeding)  is  asserted by such  director,  officer or  controlling  person in
connection with the securities being registered,  the registrant will, unless in
the opinion of its counsel the matter has been settled by controlling precedent,
submit  to a  court  of  appropriate  jurisdiction  the  question  whether  such
indemnification  by it is against public policy as expressed in the Act and will
be governed by the final adjudication of such issue.

         2. The undersigned registrant hereby undertakes:

                  (1) To file,  during any  period in which  offers or sales are
        being made a post-effective  amendment  to this  registration statement;
                                    (i) To include any  prospectus  required by
                  section  10(a)(3) of the Securities Act of 1993;

                                    (ii) To reflect in the prospectus any facts
                  or events arising after the effective date of the registration
                  statement  (or  the  most  recent   post-effective   amendment
                  thereof) which  individually  or in the aggregate  represent a
                  fundamental  change  in  the  information  set  forth  in  the
                  registration  statement.  Notwithstanding  the foregoing,  any
                  increase or decrease in volume of  securities  offered (if the
                  total dollar value of securities offered would not exceed that
                  which was  registered)  and any deviation from the low or high
                  end of the estimated  maximum  offering range may be reflected
                  in the form of prospectus  filed with the Commission  pursuant
                  to Rule  424(b)  ('  230.424(b)  of this  chapter)  if, in the
                  aggregate,  the changes in volume and price  represent no more
                  than a 20% change in the maximum aggregate  offering price set
                  forth in the  "Calculation of  Registration  Fee" table in the
                  effective registration statement.

                                    (iii) To include  any  material  information
                  with  respect  to the  plan  of  distribution  not  previously
                  disclosed in the registration statement or any material change
                  to such information in the registration statement.

                  (2) That, for the purpose of determining  any liability  under
         the Securities Act of 1933, each such post-effective amendment shall be
         deemed to be a new  registration  statement  relating to the securities
         offered therein, and the offering of such securities at that time shall
         be deemed to be the initial bona fide offering thereof.

                  (3) To remove from  registration by means of a  post-effective
         amendment any of the securities being registered which remain unsold at
         the termination of the offering.

         3. The undersigned  registrant  hereby undertakes that, for purposes of
determining  any liability  under the Securities Act of 1933, each filing of the
registrant's  annual  report  pursuant to section  13(a) or section 15(d) of the
Securities  Exchange  Act of 1934  (and,  where  applicable,  each  filing of an
employee  benefit  plan's  annual  report  pursuant  to  section  15(d)  of  the
Securities  Exchange  Act of 1934)  that is  incorporated  by  reference  in the
registration  statement  shall  be  deemed  to be a new  registration  statement
relating to the securities offered therein,  and the offering of such securities
at that time shall be deemed to be the initial bona fide offering thereof.


<PAGE>




                                SIGNATURES


         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
registrant  has duly  caused  this  Registration  Statement  to be signed on its
behalf by the  undersigned,  thereunto duly  authorized in the Village of Rye
Brook and State of New York on the 22th day of November, 1999.

                     UNIVERSAL AMERICAN FINANCIAL CORP.

                    By:
                       Richard A. Barasch, Chairman & CEO

         Pursuant  to the  requirements  of the  Securities  Act of  1933,  this
Registration  Statement  has been  signed  below on the date  indicated,  by the
following persons in the capacities and on the dates indicated:


s/ Richard A. Barasch
Richard A. Barasch, Chief                                      November 22, 1999
Chairman Executive
Officer, President and Director
(Principal Executive Officer)

s/Richard A. Barasch                                           November 22, 1999
Bertram Harnett, Director

s/Richard A. Barasch                                           November 22, 1999
Bradley Cooper, Director

s/Richard A. Barasch                                           November 22, 1999
Susan S. Fleming, Director

s/Richard A. Barasch                                           November 22, 1999
Mark M. Harmeling, Director

s/Richard A. Barasch                                           November 22, 1999
Patrick McLaughlin, Director

s/Richard A. Barasch                                           November 22, 1999
Robert Spass, Director

s/Richard A. Barasch                                           November 22, 1999
Richard Veed, Director

s/Richard A. Barasch                                           November 22, 1999
Robert Wright, Director

s/Richard A. Barasch                                           November 22, 1999
Robert A. Waegelein, Senior Vice
President and Chief Financial Officer
(Principal Accounting Officer)


<PAGE>




                                                                       EXHIBIT 5

                          HARNETT LESNICK & RIPPS P.A.
                                Nationsbank Tower
                           150 East Palmetto Park Road
                                  Suite 150
                           Boca Raton, Florida 33432-4832
                                     -----

                                 (561) 368-1995
                                     -----

                              Telecopier: (561) 368-4315




                                                                October 29, 1999



Universal American Financial Corp.
6 International Drive
Suite 190
Rye Brook, New York 10573


                  RE:      2,015,760 SHARES COMMON OF
                           UNIVERSAL HOLDING CORP. - $0.01 PAR VALUE




         As counsel to Universal  American  Financial Corp. ("the Company"),  we
have   examined  and  are  familiar  with  (1)  the  Restated   Certificate   of
Incorporation of the Company,  with all amendments  thereto,  (2) the By-Laws of
the Company,  as amended to date,  (3) the  Registration  Statement on Form S-2,
(Registration No.333-90131) including the exhibits (the "Registration
Statement"), and the  Prospectus forming a part of the  Registration  Statement,
filed by the Company  with the Securities and Exchange Commission for the
registration under the Securities Act of 1933, as amended, of 2,015,760 shares
of the Common Stock, par value $0.01 each ("The Shares"), and (4) all corporate
proceedings taken by the Company in connection with the Registration Statement
and the issuance and sale of the Shares, subject to the Registration Statement
becoming effective.

         Based upon the  foregoing,  and upon the  examination of such corporate
proceedings,  documents and records as we have deemed necessary for the purposes
of this opinion, we are of the opinion that:

         (1)   the Company is duly organized and validly existing under the laws
               of the State of New York;

         (2)   the  Shares,  when they have been sold by the Company for cash
               and paid for, as set forth in the Prospectus,  will be, in the
               hands  of the  purchasers,  duly  issued,  fully  paid for and
               non-assessable.



         We hereby  consent to the use of this opinion or  reference  thereto in
that  Registration  Statement and the Prospectus  filed by the Company under the
Securities Act of 1933, as amended, in connection with the Shares.

                                           Very truly yours,

                                           HARNETT LESNICK & RIPPS, P.A.




                                          By: _________________________________
                                              Irving I. Lesnick, Vice President


<PAGE>



                                                                      EXHIBIT 21

                 Subsidiaries of Universal American Financial Corp.

The  following are the material  subsidiaries  of Universal  American  Financial
Corp. The jurisdiction of incorporation is indicated parenthetically.


Universal American Financial Corp. owns 100% of
   American Exchange Life Insurance Company (Texas)
   American Pioneer Life Insurance Company (Florida)
   American Progressive Life and Health Insurance Company of New York (New York)
   Constitution Life Insurance Company (Texas)
   Peninsular Life Insurance Company (North Carolina)
   Pennsylvania Life Insurance Company  (Pennsylvania)
   Union Bankers Insurance Company (Texas), which owns 100% of
            Marquette National Life Insurance Company (Texas)
   UAFC (Canada), Inc, (Canada) which owns 100% of
            PennCorp Life Insurance Company (Canada)
   WorldNet Services Corp (Florida)
   PennCorp Financial, Inc. (Delaware)
Universal American Financial Corp. owns 50% of
   Security Health Providers, Inc  (Delaware)


<PAGE>



                                                                    EXHIBIT 23.1


                       Consent of Independent Auditors



We  consent to the  reference  to our firm under the  caption  "Experts"  in the
Amended Registration  Statement (Form S-2) and related  Prospectus of Universal
American Financial Corp. and subsidiaries for the registration of 2,015,760
shares of its common stock and to the incorporation by reference  therein of our
report dated March 30,  1999,  with  respect to the  consolidated  financial
statements  and schedules of Universal American Financial Corp. and subsidiaries
included in its Annual Report (Form 10-K) for the year ended  December 31, 1998,
filed with the Securities and Exchange Commission.




                                                              ERNST & YOUNG LLP

New York, New York
November 22, 1999


<PAGE>


                                                                    EXHIBIT 23.2

The Board Of Directors
PennCorp Financial Group, Inc.:


We consent to the incorporation by reference in the registration (No. 333-90131)
on Form S-2 of Universal  American Financial Corp. of our report dated April 12,
1999,  except as to Note 18 which is as of May 26,  1999,  with  respect  to the
combined balance sheets of Certain  Insurance  Operations of PennCorp  Financial
Group,  Inc.  as of  December  31,  1998  and  1997,  and the  related  combined
statements of income, changes in business equity, comprehensive income, and cash
flows for each of the years in the  three-year  period ended  December 31, 1998,
which report  appears in the Proxy  Statement of  Universal  American  Financial
Corp.  dated July 12, 1999.  We also consent to the  reference of our firm under
the heading "Experts" in the Form S-2.

KPMG LLP


Dallas, Texas
November 22, 1999

<PAGE>


                                                                    EXHIBIT 23.3

                               HARNETT LESNICK & RIPPS P.A.
                                      Nationsbank Tower
                                150 East Palmetto Park Road
                                           Suite 150
                               Boca Raton, Florida 33432-4832
                                              -----

                                        (561) 368-1995
                                              -----

                                   Telecopier: (561) 368-4315

                                         October 29, 1999


Universal American Financial Corp.
6 International Drive
Suite 190
Rye Brook, New York 10573





                  RE:      POST EFFECTIVE AMENDMENT NO. 1 TO REGISTRATION
                           STATEMENT NO. 333-03641
                           UNIVERSAL HOLDING CORP. - $0.01 PAR VALUE


         We are counsel to Universal  American  Financial Corp. ("the Company"),
in  connection  with  the  Registration   Statement  on  Form  S-2  being  filed
contemporaneously  herewith for the  registration  under the  Securities  Act of
1933, as amended,  of 2,015,760 shares of the Common Stock, par value $0.01 each
("The Shares").

         We hereby  consent to the use of our opinion  which will be filed as an
exhibit to such Registration Statement and reference thereto in the Registration
Statement and the  Prospectus  filed by the Company under the  Securities Act of
1933, as amended, in connection with the Shares.

                                            Very truly yours,

                                            HARNETT LESNICK & RIPPS, P.A.




                                        By: _________________________________
                                            Irving I. Lesnick, Vice President



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